Home / Quality Report of MERCY HLTH SYS CORP at JANESVILLE, WI

MERCY HLTH SYS CORP Quality Report

MERCY HLTH SYS CORP
1000 MINERAL POINT AVE
JANESVILLE, WI 53548

ROCK county
Phone: 608-756-6161
Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MERCY HLTH SYS CORP
95%
Average for the State of Wisconsin
85%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 22 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

MERCY HLTH SYS CORP
94%
Average for the State of Wisconsin
93%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

3. Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

MERCY HLTH SYS CORP
10%
Average for the State of Wisconsin
72%
National Average of Hospitals submitting data:
55%
Top 10%' of Hospitals submitting data scored equal to or higher than:
88%
Notes:
  1. Sample size: 10 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

MERCY HLTH SYS CORP
0%
Average for the State of Wisconsin
10%
National Average of Hospitals submitting data:
34%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 2 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

5. Heart Attack Patients Given Beta Blocker at Discharge

MERCY HLTH SYS CORP
95%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

6. Heart Attack Patients Given Beta Blocker at Arrival

MERCY HLTH SYS CORP
93%
Average for the State of Wisconsin
92%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

7. Heart Attack Patients Given Aspirin at Discharge

MERCY HLTH SYS CORP
88%
Average for the State of Wisconsin
95%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

8. Heart Attack Patients Given Aspirin at Arrival

MERCY HLTH SYS CORP
99%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

MERCY HLTH SYS CORP
94%
Average for the State of Wisconsin
79%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

2. Heart Failure Patients Given Discharge Instructions

MERCY HLTH SYS CORP
68%
Average for the State of Wisconsin
73%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

MERCY HLTH SYS CORP
93%
Average for the State of Wisconsin
87%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MERCY HLTH SYS CORP
77%
Average for the State of Wisconsin
87%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

MERCY HLTH SYS CORP
96%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

MERCY HLTH SYS CORP
93%
Average for the State of Wisconsin
88%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

MERCY HLTH SYS CORP
96%
Average for the State of Wisconsin
83%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

4. Pneumonia Patients Given Oxygenation Assessment

MERCY HLTH SYS CORP
100%
Average for the State of Wisconsin
100%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

MERCY HLTH SYS CORP
78%
Average for the State of Wisconsin
88%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

MERCY HLTH SYS CORP
92%
Average for the State of Wisconsin
80%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

MERCY HLTH SYS CORP
90%
Average for the State of Wisconsin
86%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 677 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

MERCY HLTH SYS CORP
95%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 312 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

MERCY HLTH SYS CORP
73%
Average for the State of Wisconsin
82%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 651 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...